HeadStart Starting Young

Transcription

1 HeadStart Starting Young Initial Assessment Results January 2008 Presented by Michele Polacsek Maine Harvard Prevention Research Center ext 214

2 Classroom Physical Activity Self-Assessment N=92

3 Play Environment Average Rating (1=disagree; 5=strongly agree) Fixed play equipment available Safety checks once/wk Gross motor portable equipmet available Indoor space available Areas free from clutter

4 5 Physical Activity Average Rating (1=rarely; 5=always) Have 60 minutes active free playtime Go outdoors two or more times Have 60 minutes of staff-led Do not withhold playtime

5 5 Supporting Physical Activity Average Rating (1=rarely; 5=always) Staff join children during active play Posters, books, pictures displayed Staff lead structured activities

6 5 TV Use and Viewing Average Rating (1=rarely; 5=always) TV is used for educational purposes Children are not allowed

7 Physical Activity Education 0 Average Rating (1=rarely; 5=always) Staff receive training on physical activity Children taught about benefits of physical activity Newsletters inform parents about classroom activity Physical actoivity education included in parent trainings

8 Physical Activity Self-Assessment Totals Total Need to Improve Look for ways to improve Good work Excellent work Keep it up Play Environment Physical Activity Practices Supporting Physical Activity TV Use and Viewing Physical Activity Education 22 < < < < < TOTAL 70 <

9 Potential Opportunities Safety checks Indoor space available and clutter-free Outdoor play Staff-led activities Posters, books, pictures Limit/discontinue TV Staff PA training Newsletters and parent PA training

10 Classroom Nutrition Self-Assessment N=128

11 5 Classroom and Dining Set-Up Average rating 1=disagree; 5=strongly agree Dining area has child-sized furniture Containers and scoops are child-sized Utensils easy to use for children

12 5 Introducing New Foods Average rating 1=rarely; 5=always Staff teach lesson about food before serving Food taste tests are done Circle time used to teach about food before serving

13 Children Help Prepare Food Average rating 1=disagree; 5=strongly agree Children help make food small groups help in kitchen Children well supervised around hot stoves, etc. Staff use food preparation to teach numbers, colors, textures, patterns, etc.

14 Supporting Healthy Eating Average rating 1=disagree; 5=strongly agree Children encouraged to participate socially and educationally with meal even if not eating Children encouraged to to serve themselves and practice lifting, etc. Staff teach children nutritional benefits of food during meals Meals present children a variety of flavors, smells, textures etc.

15 Supporting Healthy Eating Average rating 1=disagree; 5=strongly agree Staff support children helping with set up and clean up Children supported to self-regulate portion and intake Staff do not eat or dink non-menu foods in front of children Staff avoid negative body language and cues

16 Supporting Healthy Eating Average rating 1=disagree; 5=strongly agree Staff use positive messages about food served and health benefits Choosy eaters are sat with with adventurous eaters Staff allow children to stop eating even if food left on plate Staff help children explore new foods by teaching about flavors, textures, colors, etc.

17 Supporting Healthy Eating Average rating 1=disagree; 5=strongly agree Slow eaters are allowed to eat at their own pace A staff member or volunteer stays with child until finished eating To allow slow eaters to finish-no group activities after meals

18 Messages to Parents Average rating 1=rarely;5=always Staff assign "homework" promoting healthy eating Menus and newsletters inform parents re nutrition education taught Newsletters include WIC-friendly healthy recipes Menus written to emphasize nutrition messages (e.g. low fat milk)

19 Celebrations Average rating 1=rarely; 5=always Celebration offer a variety of activities and shift away from food If food is served, it is part of regular meal or snack A policy regarding food at celebrations exists Development and adoption of a celebration policy involved parents, staff etc.

20 Nutrition Education Average rating 1=rarely; 5=always Classrooms walls decorated with healthy food Food models available Pictures of fruit and vegetables used to help teach letters and numbers Food items used in art projects Childrens books used present positive view of healthy eating Staff provide opportunities to learn about gardening Field trips taken to pick wild foods

21 Classroom Nutrition Self-Assessment Totals Total Need to Improve Look for ways to improve Good work Excellent work Keep it up Classroom and Dining Setup 14 < Introducing New Foods 10 < Children Help Prepare Food 13 < Supporting Healthy Eating Messages to Parents 68 < < Celebrations 16 < Nutrition Education 26 < TOTAL 161 <

22 Potential Opportunities Staff teach lesson about food before serving and at circle time Food taste tests Children help prepare food in classroom and kitchen Choosy eaters are sat with adventurous eaters Celebrations steer clear of food and there is a celebration food policy in place Decorate walls, use in art projects, field trips to pick foods

23 Staff Knowledge and Practice Self-Assessment N=153

24 Staff Knowledge and Practice Average Rating (1=diagree; 5=strongly agree) Children learn about food through formal, first-hand, hands-on and observation Food preferences and habits established during first six years Meal time presenta great opportunity to teach and model There are benefits when meals and snacks are eaten with classmates Caregivers and parents are responsible for what where and when children eat

25 Staff Knowledge and Practice Average Rating (1=diagree; 5=strongly agree) Children are responsible for how much and whether they choose to eat Repeated prompts to eat or using food as reward is bad Positive role models can have a great influence on children A child may need to taste up to 12 times before food becomes familiar Staff should eat the same foods as children Healthy eating habits are critical to prevent childhood overweight

26 Staff Knowledge and Practice Self-Assessment Totals Staff Knowledge and Practice Self- Assessment Total Need to Improve Look for ways to improve Good work Excellent work Keep it up 51 <

27 Parent Survey N=380 Average age of oldest HeadStart child= 4 yrs of age 53% female children 47% male children

28 Respondent Relationship to HeadStart Child Mother Father Stepmother Stepfather Gandmother Grandfather Other

29 Age of Respondent <

30 Time Child Watches TV, Videos, DVD s Daily No time < 1/2 hour 1/2-1 hour 1-2 hours 2-3 hours 3-4 hours 4+ hours

31 Time Child Spends on Computer Daily No time < 1/2 hour 1/2-1 hour 1-2 hours 2-3 hours 3-4 hours 4+ hours

32 TV in Room Where Child Sleeps? Yes No

33 Number of Times Family Eats Dinner Together Weekly Never or almost never 1-2 times a week 3-4 times a week 5 or more time a week

34 Type of Milk Child Usually Drinks Whole Milk 2% Milk 1% Milk Skim or nonfat No milk Other

35 Does Child Drink Soda or Sugar- Sweetened Beverage on a Typical Day Never Sometimes Often Always

36 Did You Breastfeed Your Child? No At hospital Up to 1 month 1-3 months 4-6 months 7-12 months >12 months

37 Fast Food Never or < once/month 1-3 times/month Once a week 2-4 times/week 5-6 times/week Once a day or more

38 Food as Reward Never Sometimes Often Always

39 Physical Activity Inside Home Outside of HeadStart <10 min 10 min - 1/2 hr 1/2-1 hr 1-2 hrs 2+ hrs

40 Physical Activity Outdoors Outside of HeadStart <10 min 10 min - 1/2 hr 1/2-1 hr 1-2 hrs 2+ hrs

41 Compared to Other Same Aged Children, Is Your Child. Underweight Average Overweight

42 Respondent

43 Television Viewing, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

44 Television Visible and On During Mealtimes Never Sometimes Often Always

45 Time Television On During Typical Day Never Sometimes Often Always

46 Videotape/DVD Viewing, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

47 Computer Use, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

48 Weekly Moderate or Vigorous Physical Activity Yes No

49 If YES, How Many Days/Wk (at least 10 minutes)

50 Sugar-Sweetened Beverage Consumption, Weekly Never or <1 1 can 2-4 cans 5-6 cans 1 can/day 2 cans/day 3+ cans/day

51 Water Consumption Never or <once/month 1-3 times/mo 1-2 times/wk 3-4 times/wk 5-6 times/wk 1 time/day 2 times/day 3 times/day 4 times/day 5+ times/day

52 How Often Eat Fruit or Vegetables (1 serving) Never or <once/month 1-3 times/mo 1-2 times/wk 3-4 times/wk 5-6 times/wk 1 time/day 2 times/day 3 times/day 4 times/day 5+ times/day

53 How Often Eat Fast Food Never or <once/month 1-3 times/mo 1 time/wk 2-4 times/wk 5-6 times/wk 1 time/day or more

54 How Often Eat Junk Food Between Meals Never or <once/month 1-3 times/mo 1 time/wk 2-4 times/wk 5-6 times/wk 1 time/day or more

55 How Often Make Dinner at Home? Never Sometimes Often Always

56 Primary care Provider Ever Talked to You About Yes No Can't Recall

57 Describe Your Weight Very underweight Slightly underweight About the right weight Slightly overweight Very overweight

58 What Are You Trying To Do About Your Weight Nothing Stay the same Gain weight Lose weight

59 OK for HeadStart Staff to Talk to Families About. Number of checkmarks for each item Food and nutrition Physical activity Fast food TV/screen time Sugar-sweetened beverages Cutting back on fruit juice

60 Do You Feel HeadStart Staff Would Be OK Talking to Families About Number of checkmarks for each item Food and nutrition Physical activity Fast food TV/screen time Sugar-sweetened beverages Cutting back on fruit juice

61 How Comfortable Would You Feel if HS Staff Talked with You About Average Rating (0=not comfortable; 10=very comfortable) More PA Outdoor play TV out of bdrm Less TV Fruit Veg Less soda Family meals Breakfast Fast food Jun/snacks Portions

62 Barriers to Providing Health Education to Families Number of Checkmarks for Each Item Lack of time Lack of space Lack of family interest Staff uncomfortable Lack of someone to do it Lack of funds Parents uncomfortable Other

63 Topics Most Important to You Number of Checkmarks for Each Item Food and nutrition Physical activity How to talk to kids about Managing child's behavior at home TV/screen time Other

64 Potential Opportunities Child and Parent Child s TV viewing TV in child s bedroom Low fat/nonfat milk Sugar-sweetened beverages Fast food Food as reward

65 Potential Opportunities: Child and Parent Parents involvement in child s PA (indoor and outdoor) Parents TV viewing TV on at home and during mealtimes Parents computer use? Parents mod/vig. PA Parents sugar-sweetened beverages Fruit and vegetable consumption Fast food, junk food Parents NOT uncomfortable with staff Education Parents most interested in food and nutrition and managing child s behavior (same as staff!)

66 Staff Survey N=177

67 Describe Your Weight Very underweight Slightly underweight Just right Slightly overweight Very overweight 5+

68 Doing anything about your weight? Nothing Stay the same Gain Lose

69 Television Viewing, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

70 Television Visible and On During Mealtimes Never Sometimes Often Always

71 Time Television On During Typical Day Never Sometimes Often Always

72 Videotape/DVD Viewing, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

73 Computer Use, Daily No time < 1 hr 1 hr 2 hrs 3 hrs 4 hrs 5+

74 Weekly Moderate or Vigorous Physical Activity Yes No

75 If YES, How Many Days/Wk (at least 10 minutes)

76 Sugar-Sweetened Beverage Consumption, Weekly Never or <1 1 can 2-4 cans 5-6 cans 1 can/day 2 cans/day 3+ cans/day

77 Water Consumption Never or <once/month 3-4 times/wk 1-3 times/mo 5-6 times/wk 1-2 times/wk 1 time/day 2 times/day 5+ times/day 3 times/day 4 times/day

78 How Often Eat Fruit or Vegetables (1 serving) Never or <once/month 1-3 times/mo 1-2 times/wk 3-4 times/wk 5-6 times/wk 1 time/day 2 times/day 3 times/day 4 times/day 5+ times/day

79 How Often Eat Fast Food Never or <once/month 1-3 times/mo 1 time/wk 2-4 times/wk 5-6 times/wk 1 time/day or more

80 How Often Eat Junk Food Between Meals Never or <once/month 1-3 times/mo 1 time/wk 2-4 times/wk 5-6 times/wk 1 time/day or more

81 How Eat Dinner As a Family? Never 1-2 times/wk 3-4 times/wk 5+ times/wk

82 How Often Make Dinner at Home? Never Sometimes Often Always

83 Primary Care Provider Ever Talked to You About Yes No Can't Recall

84 OK for HeadStart Staff to Talk to Families About. Number of Checkmarks for Each Item Food and nutrition Physical activity Fast food TV/screen time Sugar-sweetened beverages Cutting back on fruit juice

85 Do You Feel HeadStart Families Would Be OK Talking to You About Number of Checkmarks for Each Item Food and nutrition Physical activity Fast food TV/screen time Sugar-sweetened beverages Cutting back on fruit juice

86 How Comfortable Would You Be Talking with Families About Average Rating (0=not comfortable; 10=very comfortable) More PA Outdoor play TV out of bdrm Less TV Fruit Veg Less soda Family meals Breakfast Fast food Jun/snacks Portions

87 Barriers to Providing Health Education to Families Number of Checkmarks for Each Item Lack of time Lack of space Lack of someone to do it Lack of funds Lack of family interest Staff uncomfortable Parents uncomfortable Other

88 Topics You Would Like Training On Number of Checkmarks for Each Item Food and nutrition Physical activity How to talk to families about Managing child's behavior TV/screen time Other

89 Potential Opportunities Staff Training How to talk to families Child behavior management Let staff know families more comfortable than they may believe

90 Potential Opportunities Staff Nutrition Fruit and vegetables Fast food Junk food

91 Potential Opportunities Staff Physical Activity TV on during day TV on during mealtimes Mod/vig. physical activity